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Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform

Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform at AIspire360 Inc · Remote only · 3 - 10 years · ₹10L - ₹30L / yr · Bootstrapped · Remote only · Posted 12 May 2026

AIspire360 Inc's logo

Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform

Amit Mohan's profile picture
Posted by Amit Mohan
3 - 10 yrs
₹10L - ₹30L / yr
Remote only
Skills
Artificial Intelligence (AI)
HIPAA
Backend testing
API management

Company: AISpire360 Role: Senior Voice AI Engineer (Independent Contractor, Full-Time Engagement) Location: Remote (India-based preferred; must overlap 4–6 hours daily with London + US Eastern) Engagement: Full-time independent contractor — long-term Compensation: Competitive, paid in USD, monthly. Senior staff-level rates.

About AISpire360

We are building the operating system for medical practices in the US. Our flagship product is ARIA, an AI receptionist that handles inbound and outbound calls, intake, scheduling, eligibility, prior authorization workflows, and after-hours coverage for medical practices. We are in active production deployment with our first practice — a spine surgery practice at the Hospital for Special Surgery in New York. Multiple specialty practices are in our deployment pipeline.

The platform is built to be specialty-agnostic. The voice agent stack is the universal foundation. Knowledge layers (spine surgery, primary care, behavioral health, dermatology, cardiology, pediatrics, etc.) plug in as configuration. One platform, many specialties.

We are venture-backed, founder-led, and shipping. The technical decisions you make here will be in production within weeks.

What You'll Own

You are the technical anchor for the voice agent. You will be responsible for:

Real-time voice system

  • Voice agent stack on ElevenLabs Conversational AI (and evaluation of Retell, Vapi, LiveKit alternatives as we scale)
  • STT and TTS configuration, voice tuning, language and accent handling
  • Turn-taking, barge-in, end-of-speech detection, latency budgets
  • Driving end-to-end voice latency below 700ms (we currently target 600ms)
  • Quality vs. cost tradeoffs across voice tier selection (Premium / Turbo / Standard)
  • Silence-detection optimization for outbound calls (95% silence-discount realization)

HIPAA + PHI infrastructure

  • BAA-compliant hosting architecture (AWS-based, BAA in place)
  • PHI detection and redaction pipeline (AWS Comprehend Medical + custom pre-filters)
  • Encryption in transit and at rest, audit logging, 7-year retention compliance
  • Access controls, RBAC, kill-switch infrastructure
  • HIPAA Security Rule compliance for technical safeguards

Agent orchestration and tools

  • LLM integration (GPT-4o, Claude Sonnet, with model routing for cost optimization)
  • Tool calling for scheduling, eligibility checks, prior auth lookups, calendar booking, task creation
  • Multi-turn conversation state management
  • Multi-topic call handling and structured task generation
  • Safety-critical keyword detection and escalation routing

Integrations

  • EHR integration (Epic, Athena, eClinicalWorks — at least one in V1)
  • Insurance eligibility APIs (Availity, Change Healthcare, payer-specific)
  • Calendar integration (Google Calendar, Microsoft 365, Cal.com)
  • SMS and email gateways (Twilio, SendGrid)
  • Practice-specific webhooks for task manager surfacing

Multi-tenant platform foundations

  • Per-practice configuration loading (specialty profile + practice profile)
  • Per-tenant isolation, data segregation
  • Specialty-specific intake schemas, triage rules, safety keywords
  • Production observability (tracing, metrics, latency monitoring per practice)

Required Experience

You should be able to demonstrate, in a live walkthrough with code in hand, that you have shipped production voice AI systems. Specifically:

  • 3+ years of production voice/conversational AI experience. Not chatbots — actual real-time voice agents handling live phone calls. ElevenLabs, Retell, Vapi, LiveKit, OpenAI Realtime, Deepgram, or equivalent.
  • Deep familiarity with at least 2 of: ElevenLabs Conversational AI, Retell AI, Vapi, LiveKit Agents, OpenAI Realtime API. Production deployment experience required, not demo experience.
  • HIPAA and PHI handling experience in production. Not theoretical. You have signed BAAs, deployed in HIPAA-compliant environments, and built PHI redaction pipelines.
  • AWS infrastructure expertise. Specifically: ECS or Fargate, Lambda, S3 with encryption, KMS, CloudWatch, IAM, VPC, BAA-eligible service selection.
  • AWS Comprehend Medical or equivalent PHI detection experience.
  • Twilio or equivalent telephony provider experience. SIP trunking, inbound/outbound call flows, recording and transcription pipelines.
  • Latency optimization in real-time systems. You have hit sub-700ms voice latency in production and can explain the trade-offs you made.
  • LLM production experience. GPT-4o, Claude, or equivalent. Prompt engineering, tool calling, structured outputs, model routing for cost.
  • Python or TypeScript fluency. Production code, not scripts.
  • API integration experience. REST, webhooks, OAuth, async patterns. Bonus if you've integrated with EHRs (Epic FHIR, Athena, eClinicalWorks).

Nice to Have

  • Healthcare domain experience (EHRs, clinical workflows, medical terminology)
  • Prior auth or eligibility verification workflow experience
  • Multi-tenant SaaS architecture experience
  • SOC 2 audit experience
  • Experience with knowledge graphs (PostgreSQL + pgvector, Neo4j, or similar)
  • Open-source contributions to LangChain, LiveKit, Pipecat, or similar voice/agent frameworks
  • Demonstrated ability to ship to production fast (not perfectionism — pragmatic engineering)

What This Engagement Looks Like

  • Independent contractor. You invoice us monthly. We pay in USD via wire transfer or Wise.
  • Full-time engagement. This is your primary work. We expect ~40 hours/week of focused output.
  • Long-term. We are not looking for a 3-month engagement. Expect this to run 12+ months.
  • You sign a BAA with us. This is non-negotiable due to the nature of the work.
  • You are eligible for future equity grants as we formalize the team structure.
  • Direct working relationship with our CTO (London-based) and founders (NYC and India).
  • Time-zone overlap required: at least 4–6 hours of daily overlap with both London and US Eastern. Indian Standard Time evenings (6 PM IST onward) work well.

How We'll Evaluate You

Our hiring process is fast and substantive. No take-homes. No multi-round bureaucracy.

  1. Initial screen (30 min): Background, what you've shipped, compensation expectations, BAA-readiness.
  2. Technical deep-dive (90 min): Walk us through a production voice AI system you've shipped. Code in hand. Architecture diagrams. Real production numbers — latency, cost per call, scale. We will ask follow-up questions about specific decisions you made.
  3. System design (90 min, live): We give you a design problem — a HIPAA-compliant voice agent for a medical specialty we don't yet support. You design end-to-end on a whiteboard / Excalidraw. We probe trade-offs.
  4. Founders + CTO conversation (60 min): Mutual fit. You ask us hard questions. We answer honestly.

Total: 4–5 hours of your time. We'll move from first conversation to offer in 7–10 days for the right candidate.

What We Will NOT Accept

  • Take-home assignments produced by other AI tools. We will ask you to walk through code live; if you can't explain decisions you didn't make, the interview ends.
  • Resume claims you can't substantiate. We verify employment via EPFO/UAN where applicable.
  • "I've done LLM chatbots" experience without production voice agent experience. They are not the same skill.
  • Engagement structures that conflict with this being your primary work.

How to Apply

Send a brief message with:

  1. A link to a production voice AI system you've shipped (or, if NDA'd, a description of the architecture and your specific contribution).
  2. Two or three sentences on why this role fits you specifically — not a generic cover letter.
  3. Your current compensation expectation in USD per month.
  4. Your earliest start date and current time-zone availability.

We read every message. We respond within 5 business days, including with "no" answers. We don't ghost.


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About AIspire360 Inc

Founded :
2025
Type :
Products & Services
Size :
0-20
Stage :
Bootstrapped

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Able to speak in specifics: cost per request, savings achieved through caching or model routing, context reduction decisions.


AWS Working Knowledge

Hands-on with EC2, S3, IAM, and Docker.

Comfort with CI/CD workflows and deploying AI services.


Awareness of LLM Security Failure Modes

Familiar with prompt injection patterns, understands that system prompt rules alone are insufficient, and has experience with output validation and content safety in production.


Nice to Have

  • Experience with AST/tree-sitter tooling, diff-based editing systems, or compiler-adjacent work
  • MCP server authoring
  • Open-source AI contributions
  • Published technical writing on LLM systems
  • Multi-modal model experience
  • Fine-tuning exposure (LoRA, QLoRA, PEFT)
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Leadsquared
Leadsquared
Agency job
via Right Hire by Vrishali Mishra
Bengaluru (Bangalore)
2 - 4 yrs
₹25L - ₹45L / yr
Large Language Models (LLM) tuning

About LeadSquared

LeadSquared is a leading sales execution and marketing automation platform trusted by 2,000+ businesses globally, including healthcare, education, financial services, and real estate. Headquartered in Bengaluru with offices across the US, UK, UAE, and Southeast Asia, we empower sales teams to close faster, smarter, and at scale.

Our AI team is at the forefront of integrating cutting-edge large language model capabilities into enterprise workflows — building intelligent agents, copilots, and automation systems that redefine how businesses operate.

Role Overview

We are looking for a Senior AI Engineer with hands-on experience building LLM-powered agents and agentic AI systems. You will design, develop, and deploy autonomous AI pipelines that solve complex, multi-step business problems — from lead qualification and follow-up automation to intelligent CRM workflows and beyond.

This role is ideal for someone who is deeply excited about the frontier of AI, can move fast, and wants their work to directly impact millions of sales professionals worldwide.

Key Responsibilities

•

Design and build LLM-powered agentic systems using frameworks such as LangChain, LlamaIndex, AutoGen, or CrewAI to automate complex, multi-step workflows.

•

Develop and maintain Retrieval-Augmented Generation (RAG) pipelines with vector databases (Pinecone, Weaviate, Chroma, pgvector) for domain-specific knowledge grounding.

•

Build and integrate tool-use and function-calling capabilities into AI agents, enabling dynamic interaction with internal APIs, databases, and third-party services.

•

Implement prompt engineering strategies including chain-of-thought, few-shot prompting, and structured output parsing to ensure reliable agent behavior.

•

Design evaluation frameworks and observability pipelines (LangSmith, Helicone, custom metrics) to monitor agent performance, accuracy, and cost.

•

Collaborate with product, sales, and domain teams to translate business requirements into AI-driven solutions and features.

•

Optimize LLM inference for latency and cost using techniques like caching, model distillation, quantization, and batching.

•

Stay current with the rapidly evolving LLM ecosystem and proactively propose improvements and new approaches.

•

Contribute to internal best practices, documentation, and knowledge-sharing across the engineering org.

Required Qualifications

Experience

•

2–4 years of professional software engineering experience, with at least 1–2 years focused on LLM/AI systems.

•

Proven experience shipping LLM-based products or agentic AI systems into production environments.

Technical Skills

•

Strong proficiency in Python and familiarity with async programming patterns for AI pipelines.

•

Hands-on experience with LLM APIs: OpenAI (GPT-4o), Anthropic (Claude), Google (Gemini), or open-source models (Llama, Mistral).

•

Experience with agentic frameworks: LangChain, LangGraph, LlamaIndex, AutoGen, CrewAI, or similar.

•

Solid understanding of RAG architectures, embedding models, and semantic search.

•

Experience with vector databases and similarity search infrastructure.

•

Knowledge of REST APIs, microservices architecture, and containerization (Docker/Kubernetes).

Problem-Solving & Mindset

•

Strong ability to decompose ambiguous, open-ended problems into structured AI system designs.

•

Experience with prompt debugging, LLM evaluation, and iterative refinement workflows.

•

Ability to balance research exploration with engineering pragmatism to ship reliable systems.

Preferred Qualifications

•

Experience with multi-agent orchestration and agent memory systems (short-term and long-term).

•

Familiarity with fine-tuning or RLHF workflows for domain adaptation.

•

Background in NLP, information retrieval, or conversational AI.

•

Prior experience in B2B SaaS or CRM domain is a plus.

•

Contributions to open-source AI/ML projects or published research/blogs.

•

Experience with cloud platforms: AWS, GCP, or Azure — particularly AI/ML services

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Procedure
at Procedure
4 candid answers
3 recruiters
Adithya K
Posted by Adithya K
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The recruiter has not been active on this job recently. You may apply but please expect a delayed response.

Remote only
5 - 10 yrs
₹35L - ₹65L / yr
Systems design
APIs & Integration
Data Infrastructure
TypeScript
skill iconReact.js
+4 more

Procedure is hiring for WorkHero.


WorkHero is building the AI-powered back office for the skilled trades, starting with the $50B+ HVAC industry. Small contractors are great at their trade but lose 20+ hours a week to invoicing, permits, scheduling, and paperwork. WorkHero combines expert office managers with automation and AI tooling, enabling a small team to take real ownership of that back-office work


We’re hiring a senior engineer to own our real-time voice stack end to end—AI agents operating on live phone calls—and the data platform that turns those calls into insight: call → transcript → events → warehouse → dashboards. You’ll own meaningful systems end to end alongside a small, senior team with deep experience in AI, product, and the trades.


What you’ll build

  • New product screens and flows (jobs, customers, invoices, scheduling) in React and React Native, especially AI chat UI (chat & tool result rendering, streaming responses, human review and feedback loops)
  • AI workflows in production: tool-using agents, RAG/search, classification/extraction, and human-in-the-loop flows
  • Automations: Contribute new features and improvements to our AI-powered business automation platform


In addition, you’ll own our first investments into a realtime voice stack and the call-data platform behind it. For example:

  • Realtime voice agents on live phone calls: telephony/WebRTC integration, streaming speech-to-text and text-to-speech, turn-taking, interruption handling, and latency optimization
  • Voice pipeline reliability: backpressure, failover, graceful degradation, and monitoring for live calls
  • Call-data pipeline: transcripts, events, and structured extraction flowing from every call into the warehouse
  • Analytics & dashboards: data modeling and conversation-intelligence features on top of call data
  • Evals & monitoring for voice agents: quality metrics, drift detection, and cost/latency tracking
  • Cloud infrastructure: scaling our platform with infrastructure as code, queues and orchestration, and CI/CD


Responsibilities

  • Analyze requirements and propose innovative AI-native solutions to technical problems
  • Write clean scalable code
  • Own the voice and data stack end-to-end: design, build, test, deploy, and operate
  • Optimize the performance, latency, and cost of our real-time AI systems
  • Respond to critical system issues and ensure continuous system reliability
  • Mentor team members and collaborate across teams, especially with product and subject matter experts
  • Work to understand the needs of our users and think creatively about how to solve design challenges in your work
  • This is a Remote role. We expect a minimum 4 hours overlap with the WorkHero team (11 AM - 3 PM ET).


Qualifications

  • Senior-level backend experience (typically 5+ years) shipping production systems that you've owned
  • Hands-on experience with realtime voice or streaming systems: telephony (SIP/Twilio), WebRTC, streaming STT/TTS, or frameworks like LiveKit or Pipecat — or comparable experience with demanding realtime/streaming infrastructure
  • Data engineering fundamentals: event pipelines, data modeling, warehousing, and analytics on production data
  • Strong proficiency in a typed backend language (TypeScript preferred; comparable experience welcome)
  • Hands-on experience with LLM-powered features (usage, prompting, optimization, etc) and AI architectures
  • The ability to work with infrastructure as code (terraform), cloud, and CI/CD systems at scale. We're a small team, so we own the whole stack!
  • Excitement to leverage AI coding tools to their maximum benefit. We love Claude Code and Cursor and are constantly looking for better ways to leverage our time to build fast and build for scale.


Nice to have

  • experience with voice-AI platforms (Vapi, Retell, Bland, Deepgram, LiveKit) or conversation-intelligence products (e.g. Gong-style analytics)
  • experience scaling cloud infrastructure, especially AWS, and how to get the most out of key AWS services
  • experience with workflow automation tools like n8n or Lindy
  • experience with React for building internal dashboards
  • experience with HVAC or back-office business workflows


WorkHero is committed to building a diverse team. We encourage candidates from all backgrounds to apply.

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AI diffusion in asset-heavy & regulated industries
AI diffusion in asset-heavy & regulated industries
Agency job
via Cutshort Lightning by Ariba Khan
Chennai
2 - 5 yrs
Upto ₹26L / yr (Varies
)
skill iconPython
FastAPI
skill iconDjango
skill iconFlask
Large Language Models (LLM)
+5 more

About the company

We are an AI diffusion company. We partner with midmarket companies in asset-heavy, regulated industries to co-build deeply industry-specific agentic and machine learning solutions, which then get diffused across the industry through revenue-share and equity-linked models.


Our Past

We have built and sold two companies, one of which was an AI company. Our founders and leaders are Math PhDs, Ivy League University Alumni, Ex-Googlers, and successful entrepreneurs.


Team

Our team of 20+ employees consists of data scientists, AI/ML Engineers, and mathematicians from top engineering and research institutes such as IITs, CERN, IISc, UZH. Our team includes academicians, IBM Research Fellows, and former founders. This role focuses on healthcare and RCM, working alongside our AI/ML engineers, data scientists and domain specialists.


Work you’ll do

We are looking for an experienced AI engineer with hands-on experience in healthcare and revenue cycle management (RCM). You will build and deploy AI agents, automations and data workflows for healthcare operations, with a focus on the US market.

The work includes payer-portal automation for claim status and EOB retrieval, voice agents for payer follow-up, analysis of claim journeys and bottlenecks, and AI-assisted insights into practice performance. You will work directly with billing and operations teams, owning delivery from understanding the workflow through deployment, evaluation and ongoing improvement.


Responsibilities

  • Own AI agent and automation workflows from requirements through design, development, deployment and monitoring.
  • Build agents that work across payer portals, healthcare documents, practice-management systems, EHR-connected tools and voice channels.
  • Turn fragmented healthcare data into validated, structured inputs for automation and analysis.
  • Work directly with billing and operations teams to understand workflows, resolve exceptions and improve systems based on user feedback.
  • Evaluate workflow accuracy and completion rates using representative test sets. Monitor failures and operating costs, and implement retries, exception queues and human escalation
  • Implement approved privacy and security controls for sensitive healthcare data, including access restrictions, audit trails and safeguards against exposing patient information in logs or model inputs.
  • Diagnose and improve failures across data ingestion, integrations, agent execution and user-facing workflows.
  • Measure operational outcomes, such as time saved, reduced manual effort and faster turnaround, with the teams using the systems.


Who you are

You are a passionate and results-oriented engineer who is driven by the potential of AI/ML to revolutionize processes, enhance products, and ultimately improve user experiences. You thrive in dynamic environments and are comfortable navigating ambiguity. You possess a strong sense of ownership and are eager to take initiative, advocating for your technical decisions while remaining open to feedback and collaboration.

You are adept at working with real-world, often imperfect data, and have a proven ability to develop, refine, and deploy AI/ML models into production in a cost-effective and scalable manner. You are excited by the prospect of making US healthcare operations faster and more reliable, for the people who run them and the patients they serve.


Skills & Requirements

Must have

  • At least 2 years of professional AI engineering experience, including deploying and supporting systems used in real operations. Internships and academic projects alone do not meet this requirement.
  • Hands-on experience building AI or automation solutions for healthcare RCM workflows, such as claim status checks, accounts receivable follow-up, denial management, payment posting or payer interactions.
  • Practical understanding of how billing teams work, how claims move through the revenue cycle, and how incomplete data and exceptions affect execution.
  • Experience deploying and supporting an LLM-based application or AI agent in production, using capabilities such as retrieval-augmented generation (RAG), tool calling or multi-step workflows. Ability to explain your engineering contribution, how the system was evaluated, what failed and how you addressed it.
  • Strong production Python and SQL skills, experience integrating APIs, and working knowledge of JavaScript/TypeScript for browser automation or application integration.
  • Experience automating workflows across APIs, browsers or user interfaces, using tools such as Playwright, Selenium or UiPath, with error handling and human escalation where needed.
  • Experience deploying and monitoring applications on at least one cloud platform—AWS, Azure or GCP—using containers, version control and automated testing.
  • Experience handling imperfect inputs such as scanned PDFs, inconsistent portal layouts or incomplete records, with validation and exception handling.
  • Experience working directly with billing or operations teams, improving systems based on their feedback, and demonstrating outcomes such as time saved, claims processed or reduced turnaround time.
  • Experience handling sensitive healthcare data through appropriate access controls, secure logging and approved data-handling practices.


Preferred experience

  • Experience delivering solutions for US healthcare providers, RCM companies or payer-facing operations, including working with US billing teams and payer workflows.
  • Experience with practice-management or EHR integrations, payer portals, explanation of benefits (EOB) documents or electronic remittance advice (ERA) data.
  • Experience analyzing claim histories, revenue-cycle bottlenecks or practice performance.
  • Eperience building voice agents or integrating speech-to-text and text-to-speech services is a plus.
  • Familiarity with Model Context Protocol (MCP) integrations.
  • Experience with Kubernetes, serverless applications or event-driven architectures.


Working with us

We are a young company, but we believe strongly in thinking long-term, while acting with urgency. Our ethos is rooted in innovation, efficiency and high-quality outcomes. We believe the future of work is AI-augmented and boundaryless.

Here are some of our guiding principles:

  • Think in decades. Act in hours. As an independent company, our moat is time. While our decisions are for the long-term horizon, our execution will be fast – measured in hours and days, not weeks and months.
  • Own the canvas. Throw yourself in to build, fix or improve – anything that isn’t done right, irrespective of who did it. Be selfish about improving across the organization – because once the rot sets in, we waste years in surgery and recovery.
  • Use data or don’t use data. Use data where you ought to but not as a ‘cover-my-back’ political tool. Be capable of making decisions with partial or limited data. Get better at intuition and pattern-matching. Whichever way you go, be mostly right about it.
  • Avoid work about work. Process creeps on purpose, unless we constantly question it. We are deliberate about committing to rituals that take time away from the actual work. We truly believe that a meeting that could be an email, should be an email and you don’t need a person with the highest title to say that out loud.
  • High revenue per person. We work backwards from this metric. Our default is to automate instead of hiring. We multi-skill our people to own more outcomes than hiring someone who has less to do. We don’t like squatting and hoarding that comes in the form of hiring for growth. High revenue per person comes from high quality work from everyone. We demand it.
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